Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $36.07 / $41.15	Facility		$36.07	$36.07	$41.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.90 / $47.54	Professional		$16.60	$35.90	$47.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $62.22	Facility		$33.97	$33.97	$62.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $62.22 / $82.03	Professional		$35.97	$62.22	$82.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $93.10 / $105.60	Professional		$56.56	$93.10	$105.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $65.72 / $265.68	Facility		$38.65	$65.72	$265.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $28.53 / $73.89	Professional		$21.99	$28.53	$73.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $62.22 / $74.56	Facility		$62.02	$62.22	$74.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $70.93 / $118.90	Professional		$48.70	$70.93	$118.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $28.22 / $73.53	Professional		$21.79	$28.22	$73.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Facility		$50.90	$50.90	$50.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $50.90 / $50.90	Professional		$40.21	$50.90	$50.90